| NPI | 1942567029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE C NIXON President 847-291-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149000231) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |